Making the Case for Investing in Mental Health in Canada

Making the Case for Investing in Mental Health in Canada

1 in 5 people in Canada lives with a mental illness each year

Contents

Snapshot

1

Introduction

3

Defining Mental Health, Mental Health Problems

and Illnesses, and Recovery

3

Data Sources

4

Findings from the Life and Economic Impact of

Major Mental Illnesses in Canada Study

5

About the Study

5

Overview of Findings

7

Prevalence ? the estimated number of people living with a mental illness in Canada in any given year

7

Differences across conditions, ages, and between sexes

9

Prevalence in early years

11

Prevalence in Canada's working population

13

Prevalence in older years

14

Cost Of Mental Illness

15

Direct Costs (Health Care And Social Services)

15

Indirect Costs (Productivity)

17

Total Costs

18

The Case For Taking Action

20

Illustrative Evidence of the Potential to Reduce Costs

21

Child and Youth Mental Health

22

Mental Health Services

23

Workplace Mental Health

24

Conclusion

25

Appendix 1 ? Conditions Modeled

26

Appendix 2 ? Estimated Number of People in Canada With Any Mental Illness, 2011 & 2041, by Age & Sex

26

Appendix 3 ? Estimated Annual Prevalence Rates of Any Mental Illness In Canada, 2011 & 2041, by Age & Sex

26

Notes

27

Snapshot

In 2010 the Mental Health Commission of Canada commissioned a study to fill a gap in pan?Canadian information about the number of people living with mental health problems and illness today and the associated costs. The study built a unique model based on a wide range of existing studies in Canada and internationally. Its findings, combined with existing evidence of effective interventions, offer some key reasons for why it is important to invest smartly in mental health. The total cost from mental health problems and illnesses to the Canadian economy is significant. ? The study commissioned by the MHCC makes it clear that the economic cost to Canada is at least

$50 billion per year. This represents 2.8% of Canada's 2011 gross domestic product. ? Health care, social services and income support costs make up the biggest proportion of these

costs. But it also cost business more than $6 billion in lost productivity (from absenteeism, presenteeism and turnover) in 2011. ? Over the next 30 years the total cost to the economy will have added up to more than 2.5 trillion. In any given year, one in five people in Canada experiences a mental health problem or illness and it affects almost everyone in some way. ? More than 6.7 million people in Canada are living with a mental health problem or illness today. By comparison 2.2 million people in Canada have type 2 diabetes. ? Mental health problems and illnesses hit early in people's lives. More than 28% of people aged 20-29 experience a mental illness in a given year. By the time people reach 40 years of age, 1 in 2 people in Canada will have had or have a mental illness. ? If we include families and caregivers, mental health problems and illnesses impact almost everyone in some way.

Making the Case for Investing in Mental Health 1

The impact of mental health problems and illnesses is especially felt in workplaces and among working aged people.

? People in their early and prime working years are among the hardest hit by mental health problems and illnesses.

? About 21.4% of the working population in Canada currently experience mental health problems and illnesses, which can affect their productivity.

? Mental health problems and illnesses account for approximately 30% of short ? and long-term disability claims and are rated one of the top three drivers of such claims by more than 80% of Canadian employers.

There is strong evidence that investing in effective programs can make a difference to the economy and to the health of the population.

? Changing Directions, Changing Lives: The Mental Health Strategy for Canada offers a range of proven and promising practices that can make a difference to the bottom line and to people impacted by mental health problems and illnesses in Canada.

? We cannot eliminate all costs associated with mental illnesses but we can do a better job of delivering programs that create better mental health outcomes and see cost benefits in the process.

? If we just reduced the number of people experiencing a new mental illness in a given year by 10% ? something that is very feasible in many illnesses among young people, after 10 years we could be saving the economy at least $4 billion a year.

? We know this is possible because we know that promotion, prevention and early intervention targeted at children and families can produce significant net cost benefits, such as through parent education and family support.

? We also know that programs that help people access treatment early, or help them stay out of hospital or the criminal justice system can generate cost savings.

? Improved management of mental health in the workplace including prevention, early action to combat stress and identify problems could decrease losses to productivity significantly.

Introduction

The publication in May 2012 of Changing Directions, Changing Lives: The Mental Health Strategy for Canada1 (Strategy) by the Mental Health Commission of Canada (MHCC) represented a major milestone for mental health in Canada. The Strategy offers the first pan-Canadian blueprint for improving mental health and well-being for everyone in Canada. It sets out a pathway for creating a mental health system that will better meet the needs of people living with or at risk of mental health problems and illnesses, and their families, over the coming decades.

To achieve a shared vision for change for mental health care in Canada, and to correct its histor ical neglect, the Strategy signals the need for significant new investments in mental health through government health and social spending and by the private sector.

The Case for Investing in Mental Health in Canada:

? Reinforces why governments, business, labour, health care leaders and civil society must act and set priorities for investing in mental health. It does not prescribe specific investments that need to be made: rather, it illustrates the direction of change that should be followed. It is Changing Directions, Changing Lives: The Mental Health Strategy for Canada that offers the recommended blueprint for future investments in mental health.

? Offers several key economic and population impact arguments for investing in mental health. There are, of course, other important reasons for investing in mental health, including a social justice rationale that is based on the recognition that Canadians living with mental health problems or illnesses have the same rights to health care, services, and citizenship as those living with other health conditions. These are important policy considerations as well, but they are not the focus of this document.

? Presents a picture of the number of people living with mental health problems and illnesses in Canada and outlines the substantial costs governments and the private sector will incur over the next thirty years if sufficient resources are not committed to mental health. Lastly, it offers a few illustrative examples of the evidence on how new investments in the recommendations outlined in the Mental Health Strategy for Canada can make a difference.

DEFINING MENTAL HEALTH, MENTAL HEALTH PROBLEMS AND ILLNESSES, AND RECOVERY

Mental health is integral to our overall health. It is a state of well-being in which the individual realizes his or her own potential, can cope with the normal stresses of life, can work productively and fruitfully, and is able to make a contribution to her or his own community. Mental health is different from the absence of mental health problems and illnesses.2

Good mental health buffers us from the stresses and hardships that are part of life for everyone, and can help reduce the risk of developing mental health problems and illnesses. Even when someone develops a mental health problem or illness, he or she can experience good mental health, which can contribute to their journey of recovery.3

Making the Case for Investing in Mental Health 3

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